Initial Statement of Beneficial Ownership (3)
August 12 2019 - 4:56PM
Edgar (US Regulatory)
FORM 3
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0104
Estimated average burden
hours per response...
0.5
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
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S7 Finance B.V.
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2. Date of Event Requiring Statement (MM/DD/YYYY)
4/18/2019
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3. Issuer Name
and
Ticker or Trading Symbol
MoneyOnMobile, Inc. [MOMT]
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(Last)
(First)
(Middle)
TOWER A, LEVEL 12, STRAWINSKYLAAN 1209
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4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
_____ Director
___
X
___ 10% Owner
_____ Officer (give title below)
_____ Other (specify below)
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(Street)
AMSTERDAM, P7 1077 XX
(City)
(State)
(Zip)
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5. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
___ Form filed by One Reporting Person
_
X
_ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Beneficially Owned
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1.Title of Security
(Instr. 4)
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2. Amount of Securities Beneficially Owned
(Instr. 4)
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3. Ownership Form: Direct (D) or Indirect (I)
(Instr. 5)
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4. Nature of Indirect Beneficial Ownership
(Instr. 5)
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Table II - Derivative Securities Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 4)
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2. Date Exercisable and Expiration Date
(MM/DD/YYYY)
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3. Title and Amount of Securities Underlying Derivative Security
(Instr. 4)
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4. Conversion or Exercise Price of Derivative Security
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5. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 5)
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6. Nature of Indirect Beneficial Ownership
(Instr. 5)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Common Stock Warrant (right to buy)
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6/18/2019
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6/18/2025
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Common Stock
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34750000
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$0.0216
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D
(1)
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Series H Convertible Preferred Stock
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7/19/2019
(2)
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(3)
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Common Stock
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833000
(4)
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$0.00
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D
(1)
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Explanation of Responses:
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(1)
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These securities are owned directly by S7 Finance B.V., which is a wholly owned subsidiary of JSC Siberia Airlines, which in turn is a wholly owned subsidiary of CJSC S7 Group. JSC Siberia Airlines and CJSC S7 Group are each indirect owners of the same reported securities to which S7 Finance B.V. is the direct owner.
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(2)
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Until July 19, 2019, conversion of the Series H Convertible Preferred Stock, was subject to a beneficial ownership limitation precluding conversions that would result in the beneficial ownership of S7 Finance B.V. to exceed 4.99% of the Common Stock outstanding.
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(3)
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The Series H Convertible Preferred Stock has no expiration date. The preferred stock is subject to mandatory conversion based on the occurrence of a Triggering Event as described in the Certificate of Designation of Preferences, Rights and Limitations of the Series H Convertible Preferred Stock.
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(4)
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The Series H Convertible Preferred Stock is convertible into Common Stock at a conversion rate equal to the quotient determined by dividing (i) the stated value ($3,000) of the shares of Series H Convertible Preferred Stock to be converted and (ii) $6.00 (subject to adjustment).
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Remarks:
This Form 3 is a joint filing by S7 Finance B.V., JSC Siberia Airlines, the sole shareholder of S7 Finance B.V. and CJSC S7 Group, the sole shareholder of JSCSiberia Airlines. Exhibit 24.1 - Power of Attorney for S7 Finance B.V. Exhibit 24.2 - Power of Attorney for JSC Siberia Airlines Exhibit 24.3 - Power of Attorney for CJSC S7 Group
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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S7 Finance B.V.
TOWER A, LEVEL 12
STRAWINSKYLAAN 1209
AMSTERDAM, P7 1077 XX
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X
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JSC Siberia Airlines
MOZZHERINA PROSPECT
BUILDING 10
TOWN OF OB, 1Z 633104
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X
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CJSC S7 Group
ROOM 1, AREA XVII, FLOOR 2
7 PETROVKA STREET
MOSCOW, 1Z 107031
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X
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Signatures
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/s/ Dirk Slob
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8/12/2019
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**
Signature of Reporting Person
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Date
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/s/ Dirk Slob for JSC Siberia Airlines
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8/12/2019
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**
Signature of Reporting Person
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Date
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/s/ Dirk Slob for CJSC S7 Group
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8/12/2019
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 5(b)(v).
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**
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Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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Note:
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File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure.
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Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number.
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